Shawnee Mission Surgery Center LLC
NPI 1962431197 · Ambulatory Surgical Clinic/Center · Merriam, KS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawnee Mission Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Merriam, KS (NPI 1962431197).
Provider details
- NPI number
- 1962431197
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Shawnee Mission Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Karsten Randolph, Exec Vp & Cfo(913) 676-2152
- License
- S046018 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,954 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection, Bupivacaine Liposome, 1 MgC9290 | 3,194 | $1 |
| Removal of Membrane of Retina With Removal of Internal Limiting Membrane of Retina67042 | 117 | $1,912 |
| Removal and Microscopic Exam of Growth of Head, Neck, Hands, Feet, Or Genitals, 1-5 Tissue Blocks17311 | 108 | $182 |
| Repair of Detached Retina With Drainage and Removal of Eye Fluid Between Lens and Retina67108 | 84 | $1,926 |
| Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet By Transferring Skin, 10.1-30.0 Sq Cm14041 | 47 | $881 |
| Removal of Eye Fluid (vitreous) Between Lens and Retina67036 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Adventhealth Surgery Center Shawnee Mission
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Frequently asked questions
- What is Shawnee Mission Surgery Center LLC's NPI number?
- Shawnee Mission Surgery Center LLC's National Provider Identifier (NPI) is 1962431197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawnee Mission Surgery Center LLC?
- Shawnee Mission Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shawnee Mission Surgery Center LLC located?
- Shawnee Mission Surgery Center LLC's practice location on file with NPPES is 9301 W 74th St Ste 300, Merriam, KS 66204-2239.
- What is Shawnee Mission Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Shawnee Mission Surgery Center LLC is (913) 632-9320.
- Does Shawnee Mission Surgery Center LLC accept Medicare?
- Shawnee Mission Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shawnee Mission Surgery Center LLC?
- The authorized official listed on Shawnee Mission Surgery Center LLC's NPPES record is Karsten Randolph, Exec Vp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawnee Mission Surgery Center LLC's NPI active?
- Yes — Shawnee Mission Surgery Center LLC's NPI (1962431197) is active in the NPPES registry as of the last update on 2019-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.